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拼凑生活的破碎片段:俾路支家庭照料者与精神分裂症的抗争——一项现象学研究

Putting the broken pieces of life together, Baloch family caregivers' confrontation with schizophrenia: a phenomenological study.

作者信息

Heydarikhayat Nastaran, Darban Fatemeh, Farokhzadian Jamileh

机构信息

Nursing Department, School of Medicine, Iranshahr University of Medical Sciences, Iranshahr, Iran.

Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

BMC Psychol. 2025 Jan 30;13(1):87. doi: 10.1186/s40359-025-02358-z.

Abstract

BACKGROUND

Long-term care of patients with schizophrenia, which creates a burden of care, leads to disruption in interactions, social and personal relationships, changes in lifestyle, and shifts in the roles of family members. This study aimed to explore the lived experiences of family caregivers who are caring for a family member with schizophrenia within the Baloch ethnicity.

METHODS

This is a qualitative study, using a descriptive phenomenological approach. A total of fifteen family caregivers of patients with schizophrenia participated in the study. Data were collected by a semi-structured interview.

RESULTS

Twenty-one categories, seven sub-themes and one theme were extracted. "Putting the broken pieces of life together" was the main theme with sub-themes of "Ignorance confrontation", "Schizophrenia acceptance process", "Restoring a chaotic context with human and non-human approaches", "Support seeking", "Escaping from stigma", "Roles restoring", and "Lifelong caring".

CONCLUSIONS

For a family with a member with schizophrenia, restoring family life is a top priority. However, schizophrenia is so debilitating and destructive that it threatens not only the peace of the family but also the survival of the family, and it requires constant effort and complete support to restore and maintain life.

摘要

背景

精神分裂症患者的长期护理会带来护理负担,导致互动、社会和个人关系中断,生活方式改变以及家庭成员角色转变。本研究旨在探索在俾路支族中照顾患有精神分裂症家庭成员的家庭照顾者的生活经历。

方法

这是一项采用描述性现象学方法的定性研究。共有15名精神分裂症患者的家庭照顾者参与了该研究。通过半结构化访谈收集数据。

结果

提取了21个类别、7个子主题和1个主题。“拼凑破碎的生活”是主要主题,其下的子主题包括“对抗无知”“精神分裂症接纳过程”“用人为和非人为方法恢复混乱局面”“寻求支持”“摆脱污名”“角色恢复”以及“终身照料”。

结论

对于有精神分裂症患者的家庭来说,恢复家庭生活是首要任务。然而,精神分裂症极具衰弱性和破坏性,不仅威胁家庭的安宁,还危及家庭的存续,恢复和维持生活需要持续努力和全力支持。

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